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� � CITY OF ORONO rEaM�T No.: 2010-00030 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: OU22/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 25 CYGNET PL <br /> PIN : 04-117-23-22-0007 <br /> LEGAL DESC : SWAN LAKE ADDN <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : ADVANCED PLAN REV[EW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ ]0,000.00 <br /> NOTE: PLEASE FILL IN TI fE 1=0LLOWING: <br /> VALUATION OF PERMI'1':$10,000.00 <br /> TYPE OP PGRMIT THIS PAYMI;N'I'IS FOR: BUILD[NG PERMIT FOR GNTRY <br /> P�RMIT#THIS PRE-PAYMF,NT[S TIGD TO:2010-00029 <br /> APPLICANT ADVANCED PLAN REVIEW 124.64 <br /> SKOOG EXTERIORS TOTAL 124.64 <br /> 8600 GRACE LANE <br /> LORETTO, MN 55357- <br /> Minnesota State License#: 20451795 <br /> OWNER <br /> MCLEAN, SEAN& MARIE <br /> 25 CYGNET PL <br /> LONG LAKE, MN 55356 <br /> AGREEMENT AND SWORN STATEMENT <br /> Che work for which this permit is issued shall be performed according to <br /> the approved plans and specilications,applicable City approvals,and the <br /> State Building Code. This permit is for only the work described and does <br /> not grant permission for additional or relatcd work which requires separate <br /> permita All provisions of laws and ordinances governing this type of work <br /> shall be compied with whether or not specified herein.This permit will <br /> expire and become null and void if construction authorizcd is not <br /> commenced within I 80 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> / / / / <br /> Applicant Permitee Signature Date Issucd By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />